More Practice

Answers posted in the comments.

1. The client asks if she will be able to have visitors while receiving internal radiation therapy for cervical cancer. The best response is that:
a. The threat to others is too great to allow visiting.
b. Visiting is permitted on a limited basis, usually 30 minutes a day.
c. There is no threat to visitors, and therefore no restrictions.
d. Only her husband may visit briefly every 24 hours.

2. What common systemic side effect of chemotherapy will the nurse observe in a client recieving it?
a. Ascites
b. Dysphagia
c. Polycythemia
d. Leukopenia

3. The nurse tells a client that the most appropriate diet to follow the week before surgery to remove a suspected thyroid tumor is one that is:
a. Increased in carbohydrates and protein.
b. Decreased in carbohydrates and increased in protein.
c. Decreased in fat and protein.
d. Increased in fat and decreased in protein.

4. Meperidine (Demerol) has been ordered for a client for the relief of postoperative pain. which assessment finding is a side effect of the agent?
a. respiratory rate of 10 breaths/min.
b. Blood pressure of 150/90 mm Hg.
c. Pinpoint pupils.
d. Urine output of 20 mL/hr.

5. Which nonverbal signs observed during an admitting history would indicate a client is experiencing physical discomfort?
a. Hesitancy in answering questions.
b. Clenching fist and wrinkling brow.
c. Smiling after each answer.
d. Leaving to go to the bathroom.

6. The client complains of severe pain after suffering rib, arm, and leg fractures. Which pain medication would the nurse expect to provide the greatest relief?
a. Diazepam (Valium) IV.
b. Morphine Sulphate IV.
c. Meperidine hydrochloride (Demerol) IM.
d. Methocarbamol (Robaxin) IM.

7. The nurse should advise a client who is on a salt-restricted diet to avoid eating:
a. Eggs and milk.
b. Potatoes and rice.
c. Apples and plums.
d. Carrots and spinach.

8. The effectiveness of preoperative teaching will be most negatively influenced by:
a. The presence of a significant other during the teacing session.
b. Concern regarding the amount of insurance reimbursement.
c. Prior experience with surgery in family members.
d. Abdominal pain unrelieved by medication.

9. A client's comprehension of and complience with patient teaching for same-day (out-patient) surgery will be most enhanced by:
a. Verbally giving the client instruction during an office visit before the surgery.
b. Providing the client with essential instructions in writing.
c. Telephoning the client after the surgery to review instructions.
d. Showing the client a movie regarding the procedure to reinforce verbal instruction.

10. In which position should the nurse place the arm of a client, after a radical mastectomy of the right breast?
a. Any position of comfort.
b. Close to the chest.
c. Elevated above the heart.
d. Hyperextended to the side.